Observations of Pediatric Disease Prevalence from Pacific Partnership 2015
Harlan F Dorey1, Jonathan M Dorey2, Natalie J Burman3
1Naval Hospital Bremerton, 1 Boone Rd, Bremerton, WA 98312.
Insights
Pacific Partnership pediatric data reveal asthma as a leading concern in Fiji, Papua New Guinea, and the Philippines. This analysis of humanitarian aid missions informs future healthcare planning and resource allocation for child health.
Area of Science:
- Global Health
- Pediatrics
- Humanitarian Aid
Background:
- Pacific Partnership is an annual humanitarian mission providing medical aid to Pacific Rim nations.
- While surgical outcomes are documented, primary care data from these missions remain underrepresented in scientific literature.
Purpose of the Study:
- To analyze outpatient pediatric disease frequency during the Pacific Partnership 2015 mission.
- To provide data-driven insights for optimizing future humanitarian healthcare missions.
Main Methods:
- Retrospective analysis of de-identified pediatric outpatient data from Pacific Partnership 2015.
- Data collected from eleven providers across Fiji, Papua New Guinea (PNG), and the Philippines (PI).
- Disease frequency analysis using IBM SPSS software.
Main Results:
- 1,087 pediatric patients were evaluated across Fiji, PNG, and PI.
- Asthma was a top diagnosis in all three countries (5.4%–7.2%).
- Upper respiratory infections were most common in PI (123 cases); scabies in Fiji (36 cases).
- Helminth infections were surprisingly infrequent.
Conclusions:
- Asthma and upper respiratory infections are significant pediatric health issues in the studied Pacific Rim nations.
- Findings can guide resource allocation, medication stocking, and educational priorities for future Pacific Partnership missions.
- This data analysis highlights the importance of primary care assessments in humanitarian missions.
Abstract:
Pacific Partnership is an ongoing yearly humanitarian assistance mission to Pacific Rim countries. Although many case reports and surgical successes have been documented, few data have been published specifically about the primary care mission. This article analyzes outpatient pediatric data collected during Pacific Partnership 2015. Eleven different providers documented care delivered to children from birth through age 18 yr, inclusive. Personally de-identified data were entered into spreadsheets, sorted according to country visited, and analyzed with IBM SPSS software looking for disease frequency. One thousand eighty-seven pediatric patients were seen across Fiji, Papua New Guinea (PNG), and the Philippines (PI). Asthma was the first, second, and third most prevalent diagnosis in PNG, Fiji, and PI, with a relative proportion of the total patients seen at 5.4%, 7.2%, and 5%, respectively. In PI, 123 cases of upper respiratory infection were seen, more than four times the next most common diagnosis of normal exam. Thirty-six patients with scabies were seen in Fiji (number 1), with abdominal pain at number 3 (26 cases, 6.5%). Surprisingly, helminths were rarely seen, comprising the sixteenth and fourteenth most common diagnoses in Fiji and PI and only two cases in PNG. Future Pacific Partnership missions can plan medication stock, personnel assignment, equipment needs, and educational literature based on these data.
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